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Best Medicare Advantage Plans in Kentucky for 2020

Have you searched for the best Medicare Advantage plans in Kentucky for 2020? Becoming enrolled in Medicare Part A and Medicare Part B is an exciting time in your life, and it’s also time when you should take action and look into things like Medicare Advantage plans in Kentucky. Medicare Advantage plans in Kentucky are designed for people who are eligible for Medicare and who are looking for replacement plans for Medicare.

This guide is here to help you understand more about Medicare Part C. We’re also here to help you find a Medicare Advantage plan in Kentucky.

Overview of the Best Medicare Advantage Plans in Kentucky for 2020

For people who are worried about coinsurance, copayments (copays) and deductibles that are left behind by Original Medicare, signing up for another policy is ideal. Some people go with Medicare Supplement plans that work along with Medicare. Others like replacement plans, which are also known as Medicare Advantage plans or Medicare Part C.

There are multiple companies that offer Medicare Advantage plans in Kentucky for 2020, and each of their Medicare Advantage plans have something different to offer. The federal Medicare program does require insurance companies to offer certain levels of benefits, but the insurance companies do have a lot of freedom.

It’s best to compare the different plans that are available and their rates. By taking this time to compare your options, you can choose the best policy for the best rates during your Medicare Advantage Enrollment Period.

Best Medicare Advantage Plans in Kentucky: When Can You Enroll?

Before you can sign up for a Medicare Advantage plan, you will need to be enrolled in Medicare Part A and Part B. Even if you are a beneficiary of Original Medicare (Medicare Part A and Medicare Part B), you cannot sign up for a Medicare Advantage plan at just any time of year. However, you will have various opportunities to sign up for your Medicare Advantage plan:

  • Medicare Initial Coverage Election Period ICEP: The first opportunity that you will have to sign up for one of the Medicare Advantage plans in Kentucky that are available is when you first become a beneficiary of Original Medicare (Medicare Part A and Part B).
  • Medicare Annual Election Period AEP: All beneficiaries have the opportunity to sign up for, disenroll or change your Medicare Advantage policy during a period from October 15 to December 7 of each year.
  • Medicare Advantage Disenrollment Period MADP: At one time, this was the period when you could disenroll from a Medicare Advantage plan and go back to Original Medicare (Medicare Part A and Part B). This period has now been discontinued.
  • Medicare Advantage Open Enrollment Period MA OEP: January 1 to March 31st, 2019 was the first annual MA OEP. This is another time when you are able to change your MA policy.
  • Medicare Special Election Periods SEP: Outside of a standard Medicare Enrollment Period, you may find that there are times when you need to shop around. If you have lost your Medicaid coverage after once being dual-eligible for both Medicare and Medicaid, there will be an SEP so that you can sign up for another policy. If you move outside of your plan’s network service area or lose coverage for another reason, you’ll fall into an SEP as well.

Best Types of Medicare Advantage Plans in Kentucky for 2020

If you have decided to sign up for a policy that you don’t have to rely on Original Medicare alone, you’ll want to consider these popular options.

PPO Preferred Provider Organization Plans (PPO) in Kentucky

  • Networks do apply
  • Despite the network, you can still see a doctor or hospital outside of that network
  • Seeing doctors, hospitals and other healthcare providers within your insurance company’s network will allow you to pay less
  • Referrals aren’t required

HMO Health Maintenance Organization Plans (HMO) in Kentucky

  • These Medicare Part C plans in Kentucky are sometimes available with $0 premium. Even if there is a monthly premium, it should be lower than with other policies.
  • You will be required to see in-network providers outside of emergency situations, or your insurer will not pay.
  • Referrals from a primary care doctor (PCP) are required.

Private Fee-for-Service PFFS in Kentucky

  • How much you pay and how much the insurance company pays will be determined by the plan.
  • There are no network restrictions.

Special Needs Plans SNPs in Kentucky

  • People with end stage renal disease ESRD or other chronic health conditions or institutional conditions can sign up for Special Needs Plans
  • Medicare Part D prescription drug plans have to be included in these policies

Enrollment Figures Kentucky Medicare Advantage Plans

  • The five largest counties in Kentucky are Jefferson, Fayette, Kenton, Boone and Warren.
  • There were 931,476 Medicare beneficiaries in Kentucky in 2018.
  • 266,487 of Medicare beneficiaries in Kentucky were enrolled in Medicare Advantage in 2018.

How Do Medicare Advantage Plans in Kentucky Cover Prescription Drugs?

Medicare Part A and Part B do not typically pay for prescription drug medication. You can purchase a stand-alone Medicare Part D plan for prescription drug coverage for 2020, but you may not have to. Medicare Advantage prescription drug plans are often included in MA policies in Kentucky. Just be sure to check the formulary to find out which drugs are covered and the prescription drug tiers to find out how much you’ll have to pay for your medications with different Medicare prescription drug plans.

Network Restrictions for Medicare Advantage Plan in Kentucky?

You’ll need to know these things about network restrictions before signing up for one of the available health plans:

  • In-Network vs. Out-of-Network Within Coverage Area: Out-of-network care is covered in emergency situations with any of the HMO Medicare Advantage plans and PPO Medicare Advantage plans. Outside of emergency situations, an HMO will not pay for out-of-network care, while a PPO will. Out-of-pocket expenses will be higher if you use an out-of-network provider with a PPO, though.
  • Traveling With Plan: Health maintenance organization HMO plans or preferred provider organization PPO plans will both cover emergency care outside of your network when you’re traveling. With a PPO, you can get out-of-network care when you’re traveling, but it will be more expensive.
  • Moving Across State Lines: Medicare Part A and Part B doesn’t vary from state to state, but Medicare Part C in Kentucky does. Because of this, buying a new policy will be required when you move.

Added Benefits of Medicare Advantage Plan in Kentucky

As a part of your monthly premiums, these additional perks might be included, depending on the Medicare Advantage policy that you choose for 2020:

  • Hearing care, routine vision and dental care
  • Wellness programs
  • Silver Sneakers or other similar gym membership
  • Recommendations for diet and nutrition
  • Allowance for over-the-counter medication costs
  • Healthy living seminars and classes
  • Transportation to and from medical appointments
  • Payment of some or all of the Medicare Part B premium

Here are a few changes for 2020:

  • Starting in 2020, insurance companies that provide Medicare Advantage plans in Kentucky will be able to add some supplemental non-health related benefits to certain beneficiaries, such as providing help with making structural changes to the home when needed. This is designed to help those who might need help with widening doorways or installing ramps for their homes.
  • The Centers for Medicare and Medicaid Services approved a 2.53% payment increase to Medicare insurers that offer Medicare Advantage plans in Kentucky.

Top-Rated Medicare Part C Plans in Kentucky For 2020

You might be unsure about which providers to look for as you are seeking coverage. There are a lot of Medicare Advantage plan companies out there that boast to be the best, even among those that offer coverage to seniors who reside in Kentucky.

Although there are quite a few great companies out there for 2020 Medicare Part C Plans in Kentucky, we have developed a few favorites over the years. These are some of the companies that we have researched and that we recommend for Kentucky-based seniors:

Kentucky Medicare Resources

You may be hoping to get more information about the Medicare program and the Medicare coverage that you can enjoy when you’re enrolled. You could also be looking for extra help. These resources can give you a complete description of benefits of Medicare and can help you out with extra assistance:

Also, whether you’re interested in a fee-for-service plan, Medicare Medical Savings Account plan or an HMO/PPO, we want to help. Our licensed insurance agents are on hand to tell you more about different Medicare plans and to help you choose a plan with a top star rating that won’t require you to pay a lot in out-of-pocket costs. Give us a call so that we can help!